From the University of Hawai'i at Manoa, College of Education, Honolulu, Hawaii (NMM); Queen's Medical Center, Queens Center for Sports Medicine, Honolulu, Hawaii (RO); University of Hawai'i at Manoa, Hawaii Concussion Awareness and Management Program, Honolulu, Hawaii (TF); and Straub Medical Center, Straub Psychiatry, Honolulu, Hawaii (WTT).
Am J Phys Med Rehabil. 2019 Jan;98(1):73-80. doi: 10.1097/PHM.0000000000001015.
Concussions have become a public health issue. This public health concern has drawn the attention of many states in which laws were created to address concussions safety, recognition of signs and symptoms, immediate removal, medical clearance, and return-to-play protocols. Most state legislation focused on student athletes participating in organized sports. However, the rise in concussion can be directly attributed to children, youth, and adolescents participating in nonsports-related events. Maximizing recovery from a concussion involves implementing education programs that focus on recognition of symptoms, treatment, and return-to-learn options. Treatment strategies used to address concussed youth include physical and cognitive rest and minimizing external stimuli that can increase symptoms. Because learning is a direct outcome for all youth, a return-to-learn protocol based on a collaborative school-based team approach is suggested.
脑震荡已成为公共卫生问题。这一公共卫生问题引起了许多州的关注，这些州制定了法律来解决脑震荡的安全问题、识别体征和症状、立即移除、医疗许可和重返赛场的方案。大多数州的立法都集中在参加有组织运动的学生运动员身上。然而，脑震荡的增加可以直接归因于儿童、青少年参加非运动相关的事件。最大限度地从脑震荡中恢复需要实施教育计划，重点是识别症状、治疗和重返学习的选择。用于治疗脑震荡青少年的策略包括身体和认知休息，以及减少可能增加症状的外部刺激。因为学习是所有青少年的直接结果，所以建议基于协作的学校团队方法制定重返学习的方案。
